Situation of deprivation of liberty cases it may be necessary to extreme security measures, these should not violate the confidentiality between the medical practitioner and the patients or the right to privacy of patients. 124. At CP Puerto III (Cádiz), the medical report prior to compliance with the isolation penalty is issued by the medical practitioner of the unit in which the inmate resides, based on his clinical record and without carrying out a personal check-up, so that it has been necessary to remind them of the legal duty established by article 254.1 RP for isolation penalties to be applied issuing a medical report after a checkup by the medical practitioner of the establishment, which reminder was accepted by the SGIP, which gave the management of the CP the relevant orders. Reminder of legal duty 125. The visit of the medical practitioner is compulsory and cannot be Compulsory nature of the visit of the medical practitioner to the inmate waived by the inmate serving a provisional isolation penalty, so that the inmate is unable to reject the presence of the medical practitioner to verify the conditions in which the penalty is being served. The SGIP agreed with this criterion and, accordingly, gave the appropriate instructions. 126. In most cases of mechanical restraints and provisional isolations reviewed at CP Puerto I (Cádiz), there was no record that the medical practitioner had made a personal check-up at the commencement of the measure, stating whether or not any clinical impediment existed, whether or not injuries were observed and –in the case of mechanical restraints – whether or not the situation could have been remedied from a healthcare point of view, which procedure does not conform to said Instruction 3/2010, of 6 March, on the protocol of action in security matters. On certain occasions, the medical check-up took place on the day after or at the time of cessation of the measure and in many others there was not even any record that it had occurred. Accordingly, a Reminder has been issued to the SGIP of the legal duty contemplated in article 72.2 RP, which establishes that, when the provisional isolation measure is applied, the inmate must be visited daily by the medical practitioner. 127. The documentation of the medical care provided to inmates to whom coercive measures are applied or on whom the isolation penalty is imposed is relevant. At CP Puerto I (Cádiz) such information is often not included in the clinical record of the inmate or in the record of application of coercive measures. At CP Puerto III (Cádiz), in turn, most interviewed inmates who were in isolation stated that they had not been visited by the medical practitioner, some of them although they had requested this. However, the book of medical assistance of the department recorded that various inmates had not requested or had rejected the visit. To avoid eventual inconsistencies, the infringement of article 254.1 RP and the eventual deprivation of the right to healthcare of the inmates, a mechanism should be established to permit the inmate to evidence that he requested medical assistance, which was accepted by the SGIP. Reminder of the legal duty that the medical practitioner must visit the inmates in provisional isolation daily Documentation of the medical assistance provided to inmates to whom coercive measures or isolation penalties are applied 107